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急诊护士护理送来已死亡者及其亲属的经历——一项定性研究。

Emergency nurses' experiences of caring for brought-in-dead persons and their relatives-a qualitative study.

作者信息

Bove D G, Simonsen S S, Herling S F, Timm H

机构信息

Centre for Nursing, University College Absalon, Roskilde, Denmark.

Department of People and Technology, Roskilde University, Roskilde, Denmark.

出版信息

J Adv Nurs. 2025 Mar;81(3):1543-1553. doi: 10.1111/jan.16371. Epub 2024 Aug 6.

DOI:10.1111/jan.16371
PMID:39104304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11810497/
Abstract

AIM

To explore how emergency nurses experienced caring for brought-in-dead persons and their relatives, and what hindered or facilitated this care in an emergency setting.

DESIGN

A qualitative study using Interpretive Description.

METHODS

Data were collected as individual interviews with 13 nurses at seven Danish emergency departments from February to June 2023.

FINDINGS

Our analysis revealed the overarching theme 'Navigating the complexities of providing holistic care in a constrained environment', covering five sub-themes: (1) An important yet not recognized nursing task; (2) Pending care needs of the living and the dead; (3) No physical or mental room for the brought-in-dead persons; (4) Utilizing personal experiences in the absence of formal education and training and (5) Navigating professionalism and empathy.

CONCLUSION

Emergency departments posed unique challenges in providing care to brought-in-dead persons and their relatives.

IMPLICATIONS FOR THE PROFESSION

The unrecognized nature of caring for brought-in-dead persons and their relatives suggests a universal undervaluation of this care in emergency departments.

IMPACT

Care for brought-in-dead persons and their relatives is neither recognized nor evidence-based. This study initiates a discussion of the circumstances for delivering care for persons brought-in-dead and has an impact on nurses and nursing leaders employed in emergency departments.

REPORTING METHOD

The Consolidated Criteria for Reporting Qualitative Research (COREQ).

PATIENT OR PUBLIC CONTRIBUTION

None.

摘要

目的

探讨急诊护士照顾送来时已死亡者及其亲属的经历,以及在急诊环境中阻碍或促进这种护理的因素。

设计

采用诠释性描述的定性研究。

方法

2023年2月至6月,对丹麦七个急诊科的13名护士进行了个人访谈,收集数据。

结果

我们的分析揭示了总体主题“在受限环境中应对提供整体护理的复杂性”,涵盖五个子主题:(1)一项重要但未得到认可的护理任务;(2)生者和死者未得到满足的护理需求;(3)没有为送来时已死亡者留出身心空间;(4)在缺乏正规教育和培训的情况下利用个人经验;(5)兼顾专业精神和同理心。

结论

急诊科在为送来时已死亡者及其亲属提供护理方面面临独特挑战。

对该专业的启示

照顾送来时已死亡者及其亲属的工作未得到认可,这表明急诊科对这种护理普遍重视不足。

影响

对送来时已死亡者及其亲属的护理既未得到认可,也缺乏循证依据。本研究引发了对为送来时已死亡者提供护理情况的讨论,对急诊科的护士和护理领导产生影响。

报告方法

定性研究报告的统一标准(COREQ)。

患者或公众贡献

无。

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Best Practices in End of Life and Palliative Care in the Emergency Department.急诊中的临终关怀和姑息治疗最佳实践。
Clin Geriatr Med. 2023 Nov;39(4):575-597. doi: 10.1016/j.cger.2023.05.011. Epub 2023 Jul 5.
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Healthcare professionals' perspectives of the management of people with palliative care needs in the emergency department of a UK hospital.英国医院急诊科医护人员对有姑息治疗需求的患者的管理看法。
BMC Palliat Care. 2023 Sep 6;22(1):129. doi: 10.1186/s12904-023-01248-8.
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The role of authentic leadership in nurses' stress and burnout in emergency departments.真实型领导在急诊科护士压力和倦怠中的作用。
Leadersh Health Serv (Bradf Engl). 2023 Aug 23;ahead-of-print(ahead-of-print). doi: 10.1108/LHS-01-2023-0005.
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Student nurse education and preparation for palliative care: A scoping review.护生教育及缓和医疗准备之探讨:范围性文献回顾。
PLoS One. 2023 Jul 3;18(7):e0286678. doi: 10.1371/journal.pone.0286678. eCollection 2023.
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Death, dying and caring: exploring the student nurse experience of palliative and end-of-life education.死亡、濒死和关怀:探索护生姑息治疗和临终关怀教育体验。
Br J Nurs. 2023 Jun 8;32(11):526-531. doi: 10.12968/bjon.2023.32.11.526.
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Am J Emerg Med. 2023 Apr;66:76-80. doi: 10.1016/j.ajem.2023.01.035. Epub 2023 Jan 23.
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